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[Not Available]. | LitMetric

[Not Available].

Pan Afr Med J

Université Hassan II, Faculté de Médecine et de Pharmacie, Service de Radiologie Pédiatrique, Hôpital Abderrahim Harouchi, CHU IBN Rochd, Casablanca, Maroc.

Published: May 2018

Diastematomyelia is a rare spinal dysraphism in which the spinal cord and its content are split. Two types of diastematomyelia have been described. We report the case of a 12 year old male patient presenting with reduced lower limb muscle strength without associated sphincteric disorders. The patient underwent axial, sagittal and coronal T1 and T2-weighted MRI sequence of the spine. MRI showed a bifid appearance of the bone marrow of thoracolumbar vertebrae in two hemi-cords without bone spur separating the two hemi-marrows, compatible with type 1 diastematomyelia. It was associated with low tethered spinal cord with syringomyelic cavity involving the left hemi-marrow and with biloculated fibrotic lesion at the level of the right hemi-marrow compatible with a neuroenteric cyst. MRI also showed incomplete closure of the posterior arch of D12 vertebra which communicated with a subcutaneous pocket in relation to a dermal sinus. Diastematomyelia is a rare abnormality of the spine which can be associated with other malformations. Therapeutic strategy essentially depends on the progression of the clinical signs (neurological) and of associated malformations.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5927562PMC
http://dx.doi.org/10.11604/pamj.2017.28.317.14500DOI Listing

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